[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-110-1-maternal-pediatric-033":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":64},"產兒科護理學","maternal-pediatric",{"id":7,"webId":8,"year":9,"session":10,"subject":4,"number":11,"stem":12,"options":13,"answer":18,"answerNote":19,"images":20,"explanation":21,"explanationDeep":22,"topics":23,"freq":26},"nurse-110-1-產兒科護理學-033","nurse-110-1-maternal-pediatric-033",110,1,33,"李女士產後 8 小時，惡露呈鮮紅色，1 小時內即浸溼整片產墊，下列護理措施何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"監測生命徵象及血壓","評估出血量","暫停子宮按摩","依醫囑給予子宮收縮藥物","C",null,[],"本題考點是產後大出血的第一線處置優先順序。產後 24 小時內出血最常見原因為子宮收縮乏力，依生理機轉，子宮底按摩能刺激肌纖維收縮、壓迫開放的胎盤著床面血管而止血，故正解是「暫停子宮按摩」為錯誤措施，選 C。考點在於惡露鮮紅、1 小時浸溼整片產墊已達大出血警訊，此時更應持續按摩而非暫停。A 監測生命徵象可及早發現低血容性休克，屬正確。B 評估出血量是判斷嚴重度的必要依據，屬正確。D 依醫囑給予子宮收縮劑（如 oxytocin）直接強化收縮，屬正確。故唯一錯誤者為 C。","產後出血四大成因記憶法「4T」：Tone（子宮收縮乏力，最常見約 70–80%）、Trauma（產道裂傷）、Tissue（胎盤組織殘留）、Thrombin（凝血功能異常）。子宮按摩屬 Tone 問題的第一線非藥物處置，配合排空膀胱可讓子宮更有效收縮。惡露量估算可用產墊浸溼面積換算，1 小時浸溼整片約大於 100 mL 已屬異常。藥理上 oxytocin 為首選，methylergonovine 因升壓作用高血壓者禁用，可對比記憶。",[24,27,29,31],{"term":25,"count":26},"產後出血",5,{"term":28,"count":10},"子宮收縮乏力",{"term":30,"count":10},"子宮底按摩",{"term":32,"count":10},"oxytocin",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-110-1-maternal-pediatric-034","有關前置胎盤的敘述，下列何者正確？",34,{"webId":39,"stem":40,"number":41,"year":9,"session":42},"nurse-110-2-maternal-pediatric-050","下列那個年齡層兒童，其繪畫發展已能充分表現創造性、具有平面及空間概念畫法？",50,2,{"webId":44,"stem":45,"number":46,"year":47,"session":10},"nurse-111-1-maternal-pediatric-064","小華，診斷主動脈狹窄（Coarctation of Aorta）入院，有關其身體評估之敘述，下列何者最適當？",64,111,{"webId":49,"stem":50,"number":51,"year":52,"session":42},"nurse-112-2-maternal-pediatric-022","有關乳腺炎用藥治療及哺乳建議，下列何者最適當？",22,112,{"webId":54,"stem":55,"number":56,"year":57,"session":42},"nurse-113-2-maternal-pediatric-046","王小美，5 歲，罹患巨結腸症（megacolon），進行腸道無神經節部位切除，有關術後之護理措施與指導，下列敘述何者錯誤？",46,113,{"webId":59,"stem":60,"number":61,"year":62,"session":63},"nurse-114-3-maternal-pediatric-040","何小妹，8 歲，罹患先天性心臟病，需服用毛地黃，母親詢問服藥注意事項，下列回答何者錯誤？",40,114,3,"2026-09-04",1788510721886]